Third Street Home in Mesa - Assisted Living Facility

Third Street Home - NPI 1154511202

Third Street Home is a Assisted Living Facility in Mesa, Arizona. Third Street Home practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Third Street Home is 1154511202. The last update date is 2007-07-25.

Third Street Home's current location address is 1053 E 3rd St, Mesa, Arizona. You can contact this provider via phone number 4806106974 and fax number 4806106974. The mailing address for Third Street Home is 1053 E 3rd St, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Third Street Home
Address 1053 E 3rd St, Mesa, Arizona
Phone Number 4806106974
Fax Number 4806106974
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Bondar Simona Amalia
Telephone Number 4806106974

NPI Number Detail

NPI Number 1154511202
Provider Enumeration Date 2007-07-25
Last Updated Date 2007-07-25

Provider Mailing Address Detail

Address 1053 E 3rd St
City Mesa
State Arizona (AZ)
Post Code 852038001
Phone Number 4806106974
Fax Number 4806106974

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No ALH-4846
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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FAQs about Third Street Home

What is the unique identifier code issued to Third Street Home by the Centers for Medicare & Medicaid Services (CMS)?

The Third Street Home has been assigned the NPI (National Provider Identifier) 1154511202. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Third Street Home is physically located?

The Third Street Home is physically situated at the following address: 1053 E 3Rd St, Mesa, AZ, 852038001.

What is Third Street Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Third Street Home is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.

On what date did the Third Street Home receive its 1154511202 assignment from the Centers for Medicare & Medicaid Services?

The Third Street Home was assigned its 1154511202 by the Centers for Medicare & Medicaid Services on 2007-07-25.

When was the information regarding Third Street Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Third Street Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-25.

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